Organization
OHH PHYSICIANS SOUTH, LLC
Active
Other names
OHH Physicians South, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KLAKULAK (CFO)
(405) 608-3800
Entity
Organization
Contact information
Practice address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2607
(405) 628-6000
Mailing address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2607
(405) 628-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
05/08/2012
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